DR. BRYAN LEONARD SMITH (NPI# 1639243983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639243983 |
| Entity Type | Individual |
| Full Name | DR. BRYAN LEONARD SMITH |
| Credential | M.D., FACS |
| Practice Address |
436 Nokomis Ave S Venice FL 34285-2617 |
| Practice Telephone | 9414887742 |
| Practice Fax Number | 9414887756 |
| Mailing Telephone | 9414887742 |
| Mailing Fax Number | 9414887756 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME58340 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD GROUP | 00778 | 01 |
| FL | UNIVERSAL HEALTH CARE | 4890 | 01 |
| FL | UNITED HEALTH CARE GROUP | 303424 | 01 |
| FL | RAILROAD MEDICARE | 020012690 | 01 |
| FL | CIGNA | 3323218 | 01 |
| FL | GROUP TAX IDENTIFICATION | 59-13692995 | 01 |
| FL | UNIVERSAL | 04890 | 01 |
| FL | BCBS | 10775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538723671 | Bryan Smith | Counselor | 3203 Pine Valley Way, East Stroudsburg, PA 18302-6706 | 2019-04-24 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1548243199 | Bryan David Smith | Urology | 825 Se Bishop Blvd Ste 101, Pullman, WA 99163-5517 | 2005-11-28 |
| 1306834015 | Bryan E Smith | Clinical Neuropsychologist | 5411 Plaza Dr, Suite E, Texarkana, TX 75503-1666 | 2005-10-07 |
| 1558988097 | Bryan James Smith | Behavior Technician | 3781 Bayley Dr Ste B, Lafayette, IN 47905-8657 | 2020-07-01 |
| 1629691357 | Bryan A Smith | Registered Nurse | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-05-28 |
| 1639716657 | Bryan Gregory Smith | Pharmacist | 1920 Washburn Way, Klamath Falls, OR 97603-4595 | 2019-12-09 |
| 1588138259 | Bryan D Smith | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2019-01-16 |
| 1780152256 | Bryan Taylor Smith | Physical Therapist | 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046-8767 | 2018-11-02 |
| 1184169617 | Bryan Smith | Counselor | 5707 N 22nd St, Tampa, FL 33610-4350 | 2016-12-19 |
| Street Address |
436 NOKOMIS AVE S |
| City | VENICE |
| State | FL |
| Zip Code | 34285-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033283650 | David K Aldrich | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2006-11-17 |
| 1194283143 | Jessica Kim Wood | Nurse Practitioner | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2019-03-08 |
| 1134433204 | Christopher Michael Willkomm | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2010-08-01 |
| 1275864639 | Wadi Gomero-cure | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2010-01-26 |
| 1376689232 | Surgical Associates of Venice and Englewood, Pa | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2007-01-29 |
| 1528132412 | Sidney Wayne Holec | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2006-11-20 |
| 1861566119 | Issam Afif Halaby | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164691747 | Negar Golesorkhi | Surgery | 195 Center Rd Ste B, Venice, FL 34285-5565 | 2008-02-27 |
| 1033283650 | David K Aldrich | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2006-11-17 |
| 1689624207 | Melinda Beth Hart | Surgery | 195 Center Rd, Unit B, Venice, FL 34285 | 2006-05-12 |
| 1124304084 | Genesiscare Usa of Florida LLC | Surgery | 195 Center Rd, Suite B, Venice, FL 34285-5565 | 2011-10-24 |
| 1134433204 | Christopher Michael Willkomm | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2010-08-01 |
| 1275864639 | Wadi Gomero-cure | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2010-01-26 |
| 1538357389 | Woelfel and Hart Mds Pa | Surgery | 195 Center Rd, Unit B, Venice, FL 34285-5572 | 2007-10-05 |
| 1376689232 | Surgical Associates of Venice and Englewood, Pa | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2007-01-29 |
| 1265585939 | David Yan | Surgery | 8431 Pointe Loop Dr Fl 2, Venice, FL 34293-2232 | 2007-01-18 |
| 1528132412 | Sidney Wayne Holec | Surgery | 436 Nokomis Ave S, Venice, FL 34285-2617 | 2006-11-20 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on DR. BRYAN LEONARD SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.